Provider Demographics
NPI:1144284563
Name:RICKARDS, BARBARA S (DPM)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:S
Last Name:RICKARDS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 MYRTLE STREET
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176
Mailing Address - Country:US
Mailing Address - Phone:781-662-2404
Mailing Address - Fax:781-662-0207
Practice Address - Street 1:118 MYRTLE STREET
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176
Practice Address - Country:US
Practice Address - Phone:781-662-2404
Practice Address - Fax:781-662-0207
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1668213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY70723Medicare ID - Type Unspecified
0944300001Medicare NSC
T58737Medicare UPIN